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My mom was diagnosed with vascular dementia 8 years ago. She lived with me for the last 4 years and recently was admitted to a MC. I recently discovered that this facility has been making behavior charts on my mom since day 1. My mom had no “behaviors” other than something like refusing to shower… She’s considered mild to moderate dementia and still has a fairly good memory. Her biggest struggle is personal care and some confusion. Also, she only speaks Korean as she reverted back to her native language.
Due to my lack of knowledge, I’m now finding out that this facility is a highest level of MC which is considered a behavioral facility. These reports depict my mom as a total mental case, and I feel outraged about these reports. My mom was a performer so she loves to sing, dance, and get goofy. I visit her almost daily and the caregivers and nurses tell me how much they adore my mom. I am trying to transfer my mom to a lower level of care facility which seems to be a better fit for her current condition. However, these reports just got her denied at the new facility. I met with the admin and the nurse’s director but didn’t get anywhere. I also tried to contact the state’s ombudsman but they neither call back nor write back. I am trying to reach out to agencies but to no avail. This has been extremely stressful!!

I'm sorry you are stressed. It's common to have strange behaviors in memory care. I would also think it's normal to have a list of behaviors, especially nighttime ones when dementia can be at its worst. Your mom may be having episodes at night after you have gone home. In a way it is good they are keeping a record. I checked with my mom's nurse today and thankfully she had been updated on mom's recent behavioral changes and could tell me what they were testing for, etc. It actually helped reduce my stress, as I was very worried to see mom change so rapidly. I'm glad to know they are on top of things and not just ignoring problems.
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Reply to JustAnon
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Give up and spend your time doing something really helpful, such as bringing a cake as a gift for the caregivers. Bring a treat for your mom, too, maybe a Korean delicacy if she's allowed to eat it.

My husband is in a memory care facility, the highest level of care there is, and I'm there almost every day to feed him his lunch. He can't talk understandably now, so sometimes he howls. One woman wheels her wheelchair around and around the living area almost all the time, speaking nonstop gibberish. A guy often yells suddenly at the top of his voice, that's a symptom of his type of dementia. Another man puts everything in his mouth, including buttons he tore off his shirt, so he has to be watched every second.

Every single one of them could be termed a total mental case, and neither I nor their loved ones would object. Who cares what the label is? They are all very sick. The important thing is that they get the thorough, kind and loving care they need at this stage. And you know what? Your mom WILL get worse. A lot worse, and it could happen quickly or slowly, but it will happen. Be grateful she is where she is. "Due to your lack of knowledge," as you stated it, you're heading down the wrong path. You'll learn. And don't make it so hard on yourself.
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Reply to Fawnby
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What on earth are you outraged about??? That your mom is getting great care and is loved on in her MC??? This is a first for me, hearing that a daughter wants less care for her mom with dementia bc of charting reasons!!!

You seem to be in denial about moms condition which is charted by folks who deal with her 24/7. You, on the other hand, visit daily for short blocks of time, not getting to see the whole picture of who mom is today.

My advice to you is to leave well enough alone and remember why you placed mom to begin with. Stop trying to disagree with staff who care for this woman because their words hurt your feelings for some reason. Toughen up and allow mom to get the best care possible. It's very hard to find, you know. Count your blessings.
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Reply to lealonnie1
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I would like to know what these behaviours are they are saying she has that will keep here out of another facility. Why after 4 years did you place her? What was she doing that you could no longer meet that need. Other than being volatial, I can't imagine.
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Reply to JoAnn29
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Please heed the good advice you've gotten on this post. Leave your mother where she is. As Funkygrandma said in her comment dementia NEVER gets better. It only gets worse. So if your mother is in the highest level of MC there is, be grateful. If her behavior turns from being a goofy entertainer that the staff adores and she becomes a vicious, violent dementia monster (and it happens), the MC is equipped to deal with that too. Don't move her.

You should be pleased that they keep behavior charts. This helps the direct care staff to have an idea of what they're walking into when their shifts start. This is an especially good idea in a MC or NH. I was a staff supervisor at a nice AL some time back. I demanded the care staff under me chart at the end of their shifts in a book kept in the office. If someone was ill on their shift, had a behavioral incident, refused hygiene care, etc... The staff coming for the next shift were instructed to look over the notes before their shifts so they knew what was going on too. This is just responsible and good practice.

I'd be more concerned with the fact that your mom only speaks Korean now. Do the aides or nurses use a translator to communicate with her. Maybe helping them download this onto a phone would be a good thing too for your mom.
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Reply to BurntCaregiver
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If you visit your mom "almost daily" and see the good care she's receiving and that the "caregivers and nurses adore" your mom, why in the world would you want to move her to another facility where she may not receive the love and care she deserves all because of a "behavior" chart?
Your mom has dementia and will only continue to get worse as dementia NEVER gets better.
I think you need to just take a deep breath and count your blessings that your mom is in a facility where the staff "adore" her, and just let her be, as your moms time here on earth is very limited, especially if she in fact has vascular dementia which only has a life expectancy of just 5 years, and she's had it for 8 years.
I can only guess that she perhaps has another kind of dementia along with vascular as that will/can prolong death for a bit, especially if the other dementia is Alzheimer's.
Also know that your mom would never have been admitted to this facility if she didn't meet the facilities qualifications prior to her moving there.
So again...take a deep breath and just enjoy whatever time you may have left with your mom.
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Reply to funkygrandma59
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More thoughts on your post. Perhaps you could look at whether your behavior is getting in the way of care for your mother. The report on your mother is NOT a criticism of you. If it was passed on to the new facility that you were “outraged about these reports”, and that you tried to get the Ombudsman to intervene, they may have taken the easy way out and not accepted your mother to avoid dealing with you.
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Reply to MargaretMcKen
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Why do you feel so strongly about the facility making ‘behavioral charts’? They may well do that for all their residents, so that all the carers (including new ones) have a good idea what to expect. It may bejust you that thinks it shows a ‘total nut case’, and it isn’t clear why you are “outraged about them”. If it’s a good MC place, and she is happy there, why would you move her?
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Reply to MargaretMcKen
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